HomeMy WebLinkAboutBUILDING PERMIT APPLICATION _ AI(APP:LICABL lNF MUST BE COMPLETED;FUR APPLICATION.TO BE ACCEPTED
Dates- 011;Si_ ll
Pe'rrnit Number•:. 2✓1�0 sb���
LNUREBEAM
Building-Permit Application:
P•ldnning and Deueiopment Services
Building and code Regulation Division Commercial
l R2STdelltla�. X
2300 Virginia Avenue,Fort Pierce,FL 34982
Phone:,(772)462=1553 Fax:;(772)4624578'
PERMIT APPLICATION. FORAiurn num;without on
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Address:308:SE Camino Ct,Port St> Lucie, FL 34952.
PropertyTax,l'D#; 3419-515-0217-000=0. Lot'No.28
Site Plan'Name: RIVER PARK UNIT 3. Block No:`28
Project Name:Palmisano
DETA1t.ED DESCRIP �CIf Olz 1N0r � h ��x .,
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Install a.44'x 34.`8"aluminumiscreen pool'enclosure on slab:bypool company.
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New Electrical Meter Second Electrical Meter
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Additional,work to be.performed under this perrhit—check all that apply:;
_Mechanical: _Gas:Tank _Gas•Piping a Shutters _Windows Doors _Pond
Electric . ..—Plumbing _Sprinklers _Generator Roof` Pitch
tTotal SOFFt of Construction:. - -� �' r
- Sq Ft—of Floor:
Cost of Construction:.$ 18-000: Utilities. _Sewer _Septic Building Height:
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5^•..,�`"a.£T,�.,.�e:. 3s.,.. -..':74 .t>a.. �
Name Philip Palmisano,
Name:M#chael J Newman
308 SE Camino Court Pioneer Screen Co: Inc. ll: i
Address:.. Company. ..
City, Poct,St.Lueie Stater Address:1682 SW Biltmore.St
Zi Code::34952
P Fax: City:!Port St Lucie State:FL
Phone No.443-691.'3800 34984
Zip Code: Fax: 772=340.4626.
E-Nlai[ Phone No 772-340-4393
Fill in fee simpie Title Holder on:next page(if':different E IVI it pioneerscreen@msn.com
from the Oiemerlisted: above) State or County. License RX110669.4:9
If value of construction is 2506:or'more,,a RECORDED Notice:of Commencement;is required.
if.value,of.HAUC is.$7,500 or more,a RECORDED Notice of Commencement is"`required.
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DESIGNER/ENGINEER:: lNotApplicablei MORTGAGE COMPANY: _Not Applicable
Name.:oo�c�,spaces: Name: _. . .
Addressi:po.eox oo39- Address:
City. Tampa. State: City r", State
z(p, 33679 P.ilone.8is as?9955 zip , Phone::
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FEE:SIMPLE TITLE NOLDERs —Not ,Applicable BONDING COMPANY: Not"App11cable
Name:
Address: Address:'
City: - city:
Zip Phone Zip: _
Phone;
OWNER/CONTRACTOR AFFIOVIT Application is,hereby made-to abtain:a permitto do the woek and installation as indicated:.
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f certifyahat-no:work or installation,has commencedprior to the issuance,ofa:permit.
St.Lucie County makes no,representation that is granting a permit will,authorize the permit holder to.build the:subject structure.
which isin con_ict with any applieable,Home Owners Association rules,bylaws or.and,covenants that may restrict or prohibit such: "
structure.Please con sutt:with,your.Home Owners Assoctaponi and`,reviewyour deed for.any restrictions which may,apply:.
In consideration ofthe granting:of this requested permit,I do ereby agree.that I wiff_in all respects,perform the work
in;accordance wfthtthe approved piaris,the Florida Building Codesand St!Lucie;County Amendments:
The,followingbuilding permit applications:are.exempt from undergoingafullconcurrencyreyiew room:additions,"
accessory,structures,;swimming pools,fences,walls,signs,screen rooms and-accessory"vses to another non-residentiaf,use
WARNING,TO OWNER:Your failure to.Record-a Notiee of'Commencement may result m your paying:twice fog-
)mprovemenfs.tayour property:A :o`tice of Commencementmust`be recorded and--" '0d on the jobsite
�,
before the,first
ins ction. if you " end to obtain fin_ancln consult w lender ar a att rney before
commencingwo r recordin qr Notice of Commence ent.
Signature ' Owner/Les" e/Conti for as Agent forowner', Signa tur of Contra r/Lice se Holder
STATE.OF FLORIDA STATE OF FLORIDA
COUNTY OFsant.u,de COUNTY OFwfit'wee
The fo jig instru ent was a�kJnowtedged before me. The fdr ng fnstrun,ent v�ias:acknowledged�"'efore me
this 'day of lar i'' 20 c�by this ay of t-t 2(� by
Midiael (Newman, Michael;)Newman:
i Name of erson•makin statement
Name of person making statement P g
Personally Known OR`Pcoduced Identification PersanaLlyKnown' OR Praduced Identification: __.
Type of Identification Type.of Identification
Produced Produced
(signatur .of Notary Public-State of Fhorid , ( gnatu of.Notary Pit�tic5tteofFlorida)
GG221434 rrxy t� f?u°i c Sta e of Fonda a
Commission'No. �, ( , lei t�cNn�an C mmisS!on No. God"+ � ° � � State of sic id
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a �« Iwman
�; 1° Gc,nrr Sinn GG 7.21434- MY COMrnrss,on GG 221:434
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U 3` Ex s.res Q5123/2027
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REVIEWS FRONT ZONING SUPERVISOR PLANS -VEGETATION SEA TURTLE, MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE —
COMPLETED A _
Rev..8%2/17